Safety and feasibility of single‑port laparoscopic multivisceral resection for locally advanced left colon cancer

Tei,Mitsuyoshi; Otsuka,Masahisa; Suzuki,Yozo; Kishi,Kentaro; Tanemura,Masahiro; Akamatsu,Hiroki

doi:10.3892/ol.2018.8582

Safety and feasibility of single‑port laparoscopic multivisceral resection for locally advanced left colon cancer

Authors:
- Mitsuyoshi Tei
- Masahisa Otsuka
- Yozo Suzuki
- Kentaro Kishi
- Masahiro Tanemura
- Hiroki Akamatsu
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Affiliations: Department of Surgery, Osaka Police Hospital, Osaka 543‑0035, Japan
Published online on: April 26, 2018 https://doi.org/10.3892/ol.2018.8582
Pages: 10091-10097

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Abstract

The aim of the present study was to evaluate the safety and feasibility of single‑port laparoscopic multivisceral resection (S‑MVR) for locally advanced left colon cancer. S‑MVR is a challenging technique and to the best of our knowledge this is the first report of S‑MVR for left colon cancer invading or adhering to neighboring organs. A retrospective review was conducted of patients who underwent laparoscopic multivisceral resection for locally advanced left colon cancer invading or adhering to neighboring organs from January 2008 to December 2014. Short‑term and long‑term outcomes were analyzed between groups of patients who underwent S‑MVR and multi‑port laparoscopic multivisceral resection (M‑MVR) retrospectively. A total of 14 patients underwent S‑MVR and 15 patients underwent M‑MVR. There were no significant differences between groups in terms of operative factors and postoperative complications. The length of hospital stay was significantly shorter in the S‑MVR group compared with the M‑MVR group (P=0.048). Three‑year overall survival was 61.9% in the S‑MVR group (n=14). In patients with stage II (P=0.600) and III (P=0714) disease the three‑year overall and disease‑free survival was 81.8 and 58.3% in the S‑MVR group and 80.0 and 70% in the M‑MVR groups over a median follow‑up of 34 months. In conclusion, S‑MVR for locally advanced left colon cancer is safe and feasible in selected patients.

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